Organization Active NPI

Vincent a. Reger, MD PC

  • Surgery Physician
  • Portland, OR
National Provider Identifier
1528301926
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD16802 Issued in OR
Legal business name
VINCENT A. REGER, MD PC
Practice address
9155 SW Barnes Rd Ste 406
Portland, OR 97225-6641
Phone
(503) 292-2796
Fax
(503) 291-5438
NPI assigned
Apr 3, 2013
Last updated
Apr 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Vincent A Reger, M.D.
Title
Owner
Phone
(503) 292-2796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD16802 OR Primary

Addresses

Primary practice location

9155 SW Barnes Rd Ste 406
Portland, OR 97225-6641

Mailing address

9155 SW Barnes Rd Ste 406
Portland, OR 97225-6641
Phone (503) 292-2796

Other identifiers 1

IdentifierTypeStateIssuer
1699750828OtherORNPI NUMBER

National Provider Directory

National Provider Directory

Locations

9155 SW Barnes Rd
Ste 406
Portland, OR 97225
Phone (503) 292-2796

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1528301926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9155 SW BARNES RD STE 406",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256641",
            "telephone_number": "503-292-2796",
            "fax_number": "503-291-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9155 SW BARNES RD STE 406",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256641",
            "telephone_number": "503-292-2796",
            "fax_number": "503-291-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT A. REGER, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "REGER",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-292-2796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD16802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1699750828",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.